摘要
目的探讨宫颈癌发病年龄与临床预后的关系.方法回顾南方医院1997年1月～2002年12月收治的宫颈癌93例,分为年轻组(≤35岁)和中老年组(＞35岁),进行临床分期、病理组织学、细胞分化等临床资料对比分析.结果两组患者在临床分期、组织学上有统计学差异.≤35岁组:≤Ⅱa期占82.61%,≥Ⅱb期占17.39%,磷癌占86.67%,腺癌占13.39%;而＞35岁组:≤Ⅱa期占便51.43%,≥Ⅱb期占48.73%,磷癌占82.98%,腺癌占17.02%.细胞分化程度分析,≤35岁组和＞35岁组经统计学处理无显著性差异.结论＞35岁组宫颈癌患者具有临床期别较高、腺癌较多的不良预后因素.年轻宫颈癌患者预后较好.
Objective To investigate the relationship between the patient's age and clinical prognosis of cervical cancer. Methods Ninety-three patients with cervical cancer selected from those hospitalized in Nanfang Hospital from Jan 1997 to Dec 2002 were divided into younger age (≤35 years old) and elder age group (>35 years old). Comparison was made in the clinical stages, pathological grade and differentiation between the 2 groups. Results Statistical difference was found in the clinical stages and pathological grade between the 2 groups, and in patients below the age of 35 years, 82.61% were below stage Ⅱ a and 17.39% above stage Ⅱ b, had squamous cell carcinoma and 13.39% had adenocarcinoma; In those above 35 years, 51.43% were classified below stage Ⅱ a stage and 48.73% above stage Ⅱ b, and squamous cell carcinoma were identified in 82.98% and adenocarcinoma in 17.02% of these patients. However, no statistical difference was found in the cell differentiation between the two groups. Conclusions Patients above 35 years have poorer prognosis than their younger counterparts, which might be due to more advanced clinical stage and higher rate of adenocarcinoma.
出处
《第一军医大学学报》
CSCD
北大核心
2004年第9期1066-1067,共2页
Journal of First Military Medical University
关键词
子宫颈癌/预后
年龄
病因
cervical cancer/prognosis
age
pathogeny
